Individual
MR. EDMOND BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
(309) 827-8004
Mailing address
1102 DRAYTON ST, NORMAL, IL 61761-5725
(309) 827-8004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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